From the Desk of the Residency Program Director

It is my pleasure to introduce myself to you for the first time as Program Director, as I also introduce to you our latest edition of The Medicine Forum. Having done my residency training at Jefferson, I am so proud that the tradition of this journal has continued throughout the years despite new residents, new leadership, and new challenges both locally and globally. Our residents’ commitment to not only patient care, but also to scholarship and inquiry remains outstanding and impactful. Tradition, coming from the Latin word “tradere”, means to transmit, to hand over, or to give for safekeeping; a definition that feels incredibly plausible to this journal. From year to year, I am constantly impressed by the breadth and quality of work that our residents “transmit” to our friends and alumni encompassing research, humanities, and medical education. In this peer-reviewed publication, each year the new editors and new chief residents are handed over this responsibility with the expectation of garnering new submissions and collating them into an incredible spectrum of learning and ideas. In many ways, this journal is a prism through which we can see all the brilliant differences, perspectives, and talents that comprise our unique residency. I am grateful to Emily Stewart for being a wonderful mentor and example of how to safeguard many of our wonderful Jefferson residency traditions. Consider this latest edition the first installment in a new chapter at Jefferson, one that promises to celebrate the passion, the talent, the diversity, and the community that our Jefferson residents personify. It is with great pride I submit to you the 24th edition of The Medicine Forum

How do health systems approach patient experience? Development of an innovative elective curriculum for medical students

Medical students currently learn about patient-centered care and practice communication skills via a variety of curricula. However, there is little in the published literature describing a standardized approach for training future physicians how health systems approach and work to improve patient experience. The [Anonymous1 and Anonymous2] Schools of Medicine designed a plan to pilot a two-week elective for medical students in their clinical years. The curriculum is designed to help students understand and appreciate the key elements of the patient experience across the continuum of care and prepare students to impact the patient experience either as a practicing physician and/or as a future leader. Teaching methods include experiential activities as well as a variety of flipped-classroom sessions, dedicated time for independent reflection and study, interactive lectures, and a capstone project. This elective is slated for implementation at both medical centers over the next couple of years and the curriculum design stakeholders will continually review and refine the structure of the course based on feedback from participating students and core educators. The goal is to develop a novel and reproducible patient experience curriculum that can be taught to medical students around the country, ideally during both the clinical and pre-clinical years of their training. Experience Framework This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework. (http://bit.ly/ExperienceFramework) Access other PXJ articles related to this lens. Access other resources related to this lens

From the Desk of the Residency Program Director

It has been a historic year for the Nation, City of Philadelphia and teh Jefferson Internal Medicine Residency Program. We have eperienced many health care crises starting with the closure of the historic Philadelphia hospital, Hahnemann. We welcomed residents form this program as part of the Jefferson Family and integrated many patients into our practices

From the Desk of the Residency Program Director

As we celebrate the silver jubilee of our beloved Jefferson Forum, it is with great pride and admiration that I extend a warm welcome to each of you. For a quarter-century, this annual publication has stood as a testament to the dedication, passion, and scholarly pursuits of our internal medicine residents. Within the pages of the Jefferson Forum, you will find the embodiment of our residents\u27 commitment to excellence in patient care, education, and research. As the Program Director, I have had the privilege of witnessing firsthand the remarkable growth and development of our residents. Their journey from eager learners to competent clinicians and scholars is a testament to their resilience and unwavering dedication. This year\u27s edition is particularly special, not just because it\u27s the silver anniversary, but also because it marks the countdown to our university\u27s bicentennial bash! We\u27re planning a residency reunion October 25, 2024 that promises to be at the level of the annual medicine ball, but more like the part after the faculty leave – equal parts good food and bad dancing. All alumni are invited, and we hope to see you there! Save the date and invitations will be forthcoming. To our esteemed alumni, your continued support and mentorship are the mortar that holds the bricks of our residency program together. Your wisdom, guidance, and generosity are invaluable as we navigate the ever-changing landscape of medicine. To our current residents, your hard work, creativity, and passion shine through in every article, case study, and research paper. You are the driving force behind the success of the Jefferson Forum, and your dedication is truly commendable. Here\u27s to another twenty-five years of groundbreaking discoveries, heartfelt reflections, and the occasional inside joke that only residents truly understand. Together, we will continue to uphold the legacy of the Jefferson Forum and inspire generations of physicians to come

The Evolving Endocrine Management of Metastatic Breast Cancer

At the conclusion of this presentation the participant should be able to: 1. Recognize the clinical and molecular subtypes of breast cancer. 2. Recognize the standard endocrine therapies for Estrogen-resistant metastatic breast cancer. 3. Recognize and implement novel molecular therapies in Estrogen-resistant metastatic breast cancer. Presentation: 32 minute

From the Desk of the Residency Program Director

To the Friends of the Department of Medicine: I am honored to be given the opportunity to lead this talented group of residents as they travel down the path toward completion of their residency training. On September 1st, Dr. Gregory Kane took the reins as the Interim Chair of the Department of Medicine here at Jefferson. A new Program Director could not ask for a more staunch supporter of education to occupy that role than Dr. Kane. This edition of The Forum showcases the broad variety of patients our residents and students encounter during their training. The submissions to this journal, in light of the workload they carry, is a testament to the dedication and level of engagement demonstrated by our residents and students. We’ve survived some major challenges this year through their enthusiasm, hard work, creativity and camaraderie